| NPI | 1417088980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DWINNELLS CEO 330-747-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-12-14 |